Individual
ROBERT A LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4025 RAWLINS STREET, CHEYENNE, WY 82001-1900
(307) 275-2483
(307) 426-4799
Mailing address
4025 RAWLINS STREET, CHEYENNE, WY 82001-1900
(307) 275-2483
(307) 426-4799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-455
WY
101YP2500X
Professional Counselor
Primary
LPC-455
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106662500
—
WY
01
—
310021
BCBS OF WYOMING
WY
Enumeration date
04/10/2007
Last updated
06/02/2021
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